Individual provider Active NPI

Allan Moltmaker, LMT

  • Massage Therapist
  • Clinton Township, MI
National Provider Identifier
1376998617
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
7501006283 Issued in MI
Practice address
22681 Morelli Dr
Clinton Township, MI 48036-1152
Phone
(586) 221-0138
NPI assigned
Apr 24, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7501006283 MI Primary

Addresses

Primary practice location

22681 Morelli Dr
Clinton Township, MI 48036-1152

Mailing address

247 Wellington Cres
Mount Clemens, MI 48043-2946
Phone (586) 221-0138

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address allan@reflexmanualtherapy.com Direct Reflex Manual Therapy LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7501006283MIMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reflex Manual Therapy LLC Massage Therapist CurrentSince Aug 23, 2020 Accepting new patients

Locations

22681 Morelli Dr
Clinton Township, MI 48036
Phone (586) 221-0138

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1461456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1376998617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 WELLINGTON CRES",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432946",
            "telephone_number": "586-221-0138",
            "fax_number": "707-220-4729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22681 MORELLI DR",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480361152",
            "telephone_number": "586-221-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLTMAKER",
        "first_name": "ALLAN",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-24",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501006283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "allan@reflexmanualtherapy.com",
            "affiliation": "Y",
            "endpointDescription": "email",
            "affiliationName": "Reflex Manual Therapy LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "22681 Morelli Dr",
            "city": "Clinton Township",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480361152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.